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Prosthetic Sheath, Upper Limb

South Carolina rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Rates data updated July 2026.

How much does Prosthetic Sheath, Upper Limb cost?

$13.49

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $13.49 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $17.38 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$11.48 to $19.05
FacilityA hospital or hospital-owned outpatient department$17.38$11.48 to $23.99

How much rates vary

Facilitymedian $17 · 10th to 90th $11 to $35Professionalmedian $13 · 10th to 90th $11 to $21
$10$20$50facility $17professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$21.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$23.44
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$24.55
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$30.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$16.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$20.89
Typical High
$44.67
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$19.50
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.88
Typical High
$19.50

Where South Carolina sits

The same service costs 2.6 times more in Hawaii than in Tennessee. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 47th of 51

$13.49

HI $32.36TN $12.30

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.